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F.A.S.T. Procedure (Technique) - Focused Aspiration on Scar Tissue or Fasciotomy And Surgical Tenotomy

The Goal - To seek the origin and remove the source of the pain in a minimally invasive manner. General anesthesia is NOT required as opposed to normal surgical procedure. After the procedure is completed, the miniscule incision is closed by a small bandage. 
 

Fact - There are over 10 million people in the United States suffering from tendon pain/injuries every year. Tendon pain holds people back from performing everyday tasks, even walking. The blood carrys nutrients and oxygen which aids in the healing process, but a healthy tendon has a small blood supply which slows down the healing process. 

Frequently Asked Questions:

What is a Tendon? - The tissue that connects the muscle to the bone in your joints. The muscle and tendon work together creating a pulling force which allows you free range of motion in your joints. 

What Causes Tendon Pain? - The overuse of the tendon through activity, work, and exercise can cause pain. If you twist, hit, or pull in the area of the joint, this can also cause pain.

What kind of Tendon Pain?: Plantar Fasciitis (soft tissure in the heel) and Achilles Tendonitis

Tendonitis - When your tendon is inflammed or has an irritation that causes pain in the joint.

Tendonosis - In other words, chronic tendonitis.

What is Scar Tissue? - Scar tissue is formed after the normal skin has been damaged. There can also be external and internal scar tissue build up as well. Internal scar tissue build up can cause pain, which limits range of motion and movement. 

Is F.A.S.T. Procedure Painful? - After the local anesthesia is applied, there is minimal pressure on the area treated. Post procedure there is minor swelling. 

How long is the F.A.S.T. Procedure? - At most it would take 15 minutes or less (including protocols), but it has been completed in as short a time as 2 minutes. Ask your doctor about time and other protocols included. 

What is the recovery period? - Normal surgical procedures make take several months to recover, however the F.A.S.T. procedure only takes 4  - 6 weeks before returning to regular activities. In most instances, you can begin light weight bearing activities after 2 weeks. Your podiatrist will follow up with instructions for care after the procedure is completed. 

What should I expect during the F.A.S.T. Procedure? - Your podiatrist will use a diagnostic ultrasound to pinpoint the area of the scar tissue. You can relate this screening similar to a sonogram locating the baby in the womb. The ultrasound using a specific frequency is able to differentiate the difference between the healthy tissue and the scar tissue. The instrument (size of a toothpick) uses a specific energy level enabling it to break up and remove the scar tissue leaving the healthy tendon tissue behind. 

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